Medical Interoperability Gateway (MIG) Care Record sharing agreement / SSISA
Agreement name
Information Sharing Agreement between GP Practice and Out of Hour
Service and Walk in Services in Tower Hamlets
We The XXXXXX Practice agree to share the following patient information via MIG as per the
attached HGL Content Model Read Code Mappings to Record Elements (V0-3) with Tower Hamlets
OOH and WIC services
Purpose of the Sharing Agreement
The purpose of the sharing agreement is to provide integration of the GP Detailed Care Record
(DCR) service between practices in Tower Hamlets to the Out of Hours provider and Walk in Service
Provider.
The MIG works by the third party system, Adastra (OOH Services and Walk In Centres), requesting
data from the GP clinical system via the MIG. The MIG then brokers the message to the GP clinical
system and provides a response back to the MIG which then sends the message back to Adastra to
access the data. Once the patient information has been viewed and closed it is not kept on any
local servers. It is important to note that the information will only be READ Coded information and
viewed by clinicians and will be read only. Access to the information will be controlled at the GP
Practice level with the use of Information Sharing Agreements to agree scope of the record and
information shared (see appendix 1 draft agreement).
Healthcare Gateway will provide the MIG technology and hosting infrastructure to support the
interoperability between GP Practice systems and Adastra. EMIS will be providing the streaming
and hosting services of EMIS LV, PCS and Web practices.
Advanced Healthcare who supply’s the Adastra system will be working with Healthcare Gateway to
configure the system in the out of hours’ settings.
Agreement details
Patient Demographics
Summary, including Current Problems, Current Medication, Allergies, and
Recent Tests
Problem view
Diagnosis View
Medication including Current, Past and Issues
Risks and Warnings
Procedures
Investigations
Examination (Blood Pressure Only)
Events consisting of Encounters, Admissions and Referrals
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What job categories can
view shared data?
Exclusion List
All
GPs working within OOH services and Walk in Centres
Health Care Professionals
Administrators
HSA1-therap. Abort. Green form
h/o venereal disease
Hysterectomy and termination of pregnancy
Dilation cervix uteri & curettage products conception uterus
Curettage of products of conception from uterus NEC
Suction termination of pregnancy
Dilation of cervix and extraction termination of pregnancy
Termination of pregnancy NEC
Cervical Smear - Wart Virus
Gonorrhoea carrier
Venereal disease carrier NOS
AIDS carrier
Notification of AIDS
Introduction of abortifacient into uterine cavity
Treatment for infertility
Genital herpes simplex
Viral hepatitis B with coma
Viral (serum) hepatitis B
Viral hepatitis C with coma
Viral hepatitis C without mention on hepatic coma
Chronic viral hepatitis
Unspecified viral hepatitis
Cytomegaloviral hepatitis
Acquired immune deficiency syndrome
Human immunodef virus resulting in other disease
HIV disease resulting in cytomegaloviral disease
Chlamydial infection
Chlamydial infection of lower genitourinary tract
Chlamydial infection of anus and rectum
Chlamydial infection of pelviperitoneum oth genitourinary organs
Chlamydial infection, unspecified
Chlamydial infection of genitourinary tract, unspecified
Human papilloma virus infection
Papillomavirus as a cause of diseases classify to other chapters
Syphilis and other venereal diseases
Trichomoniasis – trichomonas
Phthisis pubis - public lice
HIV disease resulting/other infection parasitic diseases
Gender role disorder of adolescent or adult
Dementia in human immunodef virus (HIV) disease
[X]Gender identity disorders
[X]Gender identity disorder, unspecified
Cystitis in gonorrhoea
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Prostatitis in gonorrhoea
Prostatitis in tichomoniasis
Chlamydial epididymitis
Female chlamydial pelvis inflammatory disease
Chlamydia cervicitis
Legally induced abortion
Illegally induced abortion
Unspecified abortion
Failed attempted abortion
Complications following abortion/ectopic/molar pregnancies
Failed attempted abortion
Other specified pregnancy with abortive outcome
Pregnancy with abortive outcome NOS
Maternal syphilis in pregnancy/childbirth/puerperium
Maternal gonorrhoea during pregnancy/childbirth/puerperium
Other venereal diseases in pregnancy/childbirth/puerperium
Laboratory evidence of HIV
Complications associated with artificial fertilization
Asymptomatic human immunodeficiency virus infection status
Gonorrhoea carrier
Hepatitis B carrier
Hepatitis C carrier
[V] Pregnancy with history of infertility
[V] Admission for administration of abortifacient
[V] In vitro fertilization
Practice/organisation name
CDB number
Name and role
Signed (on behalf of the
practice/organisation)
Date
Details of Contact Staff for compliance, advice and arbitration issues concerning this SSISA.
Name of party
Job Roles
Contact number and / or email
Caldicott Guardian /
Lead GP (Practice)
Practice Manager
Dr S W Ryan, Medical
Director
Bart’s Health Out of
Hours Caldicott
Guardian / Privacy
020 3416 5000
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Officer
Bart’s Health Out of
Hours Lead Clinician
jennieread@nhs.net
Bart’s Health Out of
Hours Service
Manager
Jane.baylis@bartshealth.nhs.uk
Dr J Haque
The Barkantine WiC
Caldicott Guardian /
Privacy Officer
020 7791 8080
Savitha Pushparajah
St Andrews WiC
Caldicott Guardian /
Privacy Officer
020 8980 1888
Dr Jennie Reid
Jane Baylis
02035940030
02035940030
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Parties to the agreement - addresses, contacts & signatures
Barts Health
Organisation
Address
Contact Details
Barts Health
The Royal London Hospital
Whitechapel Road
Whitechapel
London
E1 1BB
Steve.ryan@bartshealth.nhs.uk
Signature
Name:
Dr S Ryan
Designation:
Medical Director
Date:
11/7/12
Walk In Centre - Barkantine
Organisation
Barkantine Walk In Centre
121 Westferry Road
Address
E14 8JH
Contact Details
020 7791 8080
Signature
Name:
Dr J Haque
Designation:
GP
Date:
27/6/2013
Walk in Centre – St Andrews
Organisation
St Andew’s Walk in Centre
2 Hannahford Walk
Address
E3 3FF
5
Contact Details
020 8980 1888
Signature
Name:
Savitha Pushparajah
Designation:
Clinical Lead
Date:
4/12/2013
Organisation
Address
Contact Details
Signature
Name:
Designation:
Date:
1. Record Sharing
The GP Practice is the data guardian and controls access to the records therefore no data is
shared unless the practice has agreed to do so via the data sharing agreement. This details the
data to be shared. Each organisation must agree to the sharing agreement before the data can
be shared or viewed.
No data is ‘sent’ anywhere with data sharing, it remains within the organisation and the ‘sharing’
only enables others to view the data. Data cannot be changed or amended in any way be the
viewing organisation.
2. Purpose of Agreement
This agreement has been developed to document the flow of information between the named
organisations to enable monitoring of patients being cared for and to provide accurate data for
patient service delivery. Through this agreement all parties agree to ensure that staff are made
aware of their responsibilities and comply with the law and demonstrate compliance with the
Data Protection Act 1998 and the Department of Health Code of Confidentiality.
3. Scope of Agreement
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The agreement covers the flow of information between the named organisations as to assist
service delivery. Information can only be shared between the parties that are defined in this
agreement
4. Approval
This agreement can only be signed by the organisation’s Caldecott Guardian or an appropriate
senior officer, nominated by an organisations’ Caldecott Guardian/Information Governance
Lead.
5. Review of Agreement
This agreement will be reviewed twelve months after implementation, and every twelve months
thereafter. At review, compliance at local level will be assessed. Amendments to the agreement
will be distributed to all parties for review and sign off.
6. Monitoring of Agreement
Each organisation signed up to this agreement is responsible for ensuring full compliance of all
staff within their organisation to the terms and conditions of this agreement. Any identified
areas of non-compliance must be forwarded to the Nominated Senior Professional for
resolution.
7. Access to Patient Information
Clinical and personal details will only be available to any person who is involved with the care of
the individual on a need-to-know basis. Professionals must be able to justify fully the reasons
for their obtaining any particular detail about an individual.
Before anyone can view the shared record there must be:


A legitimate relationship with the patient
Obtained permission from the patient to view the shared record or stated that there was an
emergency override, for each and every access
8. Consent
The Detailed Record Service is only available to clinicians working in an out of hours setting and
not accessed by any other team members. The consent module used is similar to the Summary
Care Record with the patient providing explicit consent to view the record and the clinician in
the out of hours’ service records that the patient has provided consent to view. This information
will be auditable.
The Adastra system will also prompt the user to confirm patient consent prior to accessing the
cared record at the time of consultation. Patients will have the opportunity to opt out if they
wish to do so. Consent will be recorded in the electronic audit trail
9. EMIS Web Security Arrangements
 EMIS will not grant anyone access to patient records. The GP practice controls access to
the records.
 By default, only users in the organisation that own a record can view that record.
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

Subject to mutual agreement, organisations can share records with each other when
providing care for the same patient.
Organisations can use access controls to restrict the viewing of and access to a patient
record, or to individual items within a record.
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